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General NPI Number Information
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NPI Number | 1902827942
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Entity Type | Organization
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Legal Business Name | COMMUNITY MIDWIFERY
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Dates
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Enumeration Date | 07/23/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1622 8TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11215-5604
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Country | US
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Telephone | 718-788-0595
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Fax | 718-788-5796
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Provider Business Mailing Address
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Address Line | 1622 8TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11215-5604
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Country | US
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Telephone | 718-788-0595
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Fax | 718-788-5796
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. JOAN SYKES BRYSON
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Credential | CNM LM
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Telephone | 718-788-0595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | F000365
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License Number State | NY
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